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CAUCASUS BAROMETER 2015

Questionnaire

Unique Household ID
V1. |____|____|____|____|____|____| |____|____|
[TO BE FILLED IN BY INTERVIEWER]

V2. Interviewer code [TO BE FILLED IN BY INTERVIEWER]


|___|___|___|___|

[INTERVIEWER! GREET THE HOUSEHOLD MEMBER IN THE OFFICIAL TITULAR LANGUAGE


OF /COUNTRY/. IF THE HOUSEHOLD MEMBER DOES NOT REPLY IN THE SAME LANGUAGE,
PROBE OTHER LANGUAGES APPLICABLE IN THIS CLUSTER (IF ANY). IF THE HOUSEHOLD
MEMBER DOES NOT REPLY IN ANY OF THE LANGUAGES APPLICABLE IN THIS CLUSTER,
PROVIDE THIS INFORMATION IN THE INTERVIEWER FORM AND LEAVE.]

[INTERVIEWER! MAKE SURE YOU ARE TALKING TO AN ADULT (18 YEARS OLD OR OLDER)
MEMBER OF THIS HOUSEHOLD. MEMORIZE THE FOLLOWING TEXT AND ADDRESS THE
PERSON WHO OPENED THE DOOR IN THE LANGUAGE THE PERSON ANSWERED YOU IN. IF
THE HOUSEHOLD MEMBER REFUSES TO PARTICIPATE AT ANY POINT DURING THE
INTRODUCTION, PROVIDE THIS INFORMATION IN THE INTERVIEWER FORM.]

Hello, my name is /last name and first name/ and I represent the Caucasus Research Resource Centers,
a non-profit independent research center in /country/. We are conducting our annual survey and
would like to ask your household member a number of questions to help better understand people’s
opinions and conditions in our country. Your household has been selected randomly, along with a
couple thousand other households in /country/, and it is very important for the reliability of the results
that you agree to participate in this survey.

Participation in our survey is voluntary and will be confidential and completely anonymous. Your
household member’s name will not be linked to the responses recorded on this survey, nor will

CB 2015 Source Questionnaire 1


researchers be able to link your identity or address to the responses recorded. On behalf of our
organization, I ask you to help us understand what people think about life in our country.

This interview will take approximately 50 minutes, depending on the size of your household. I will
need your help to identify the adult household member I will be interviewing. This selection should
be done according to a special procedure that ensures random selection of the respondent. It’s very
important that we follow certain steps while identifying this member of the household.

Let’s talk about your household. By “household” we mean people currently living with you most of
the time, regardless of their legal place of residence, and who share income and expenses. I would like
to ask you to tell me only about the members who currently live with you, i.e. spend at least 4 nights
per week in this dwelling.

V4. Please tell me, according to the definition provided, how many people, including you, live
currently in your household?

[INTERVIEWER! WRITE DOWN THE NUMBER.]

|____|____| PEOPLE
(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE

V5. And how many of these people are adults (age 18 and older)?

[INTERVIEWER! WRITE DOWN THE NUMBER.]

|____|____| ADULT PEOPLE


(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE

V6a. Please list the age of all adult male members of your household, starting with the oldest one.
Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Name,”
“Gender” AND “Age” OF TABLE V6 BELOW.]

V6b. Now, please list the age of all adult female members of your household, starting with the oldest
one. Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Name,”
“Gender” AND “Age” OF TABLE V6 BELOW.]

[INTERVIEWER! IF THERE ARE MORE THAN 6 HOUSEHOLD MEMBERS, LISTEN TO THE


HOUSEHOLD MEMBER, BUT DO NOT RECORD MORE THAN 6 HOUSEHOLD MEMBERS IN
TABLE V6.]

CB 2015 Source Questionnaire 2


TABLE V6
Selected household
No. Name Gender Age
member
1.
2.
3.
4.
5.
6.

HOUSEHOLD NUMBER – COPY LAST TWO DIGITS FROM V1: |_____|_____|

[INTERVIEWER! CONSULT KISH TABLE TO IDENTIFY CODE FOR TABLE V7, BASED ON
THE PROVIDED HOUSEHOLD NUMBER. CIRCLE THE CODE FROM KISH TABLE IN COLUMN
“CODE” OF TABLE V7 BELOW.]

[INTERVIEWER! USE TABLE V7 TO SAMPLE THE RESPONDENT. FIND AND CIRCLE THE
NUMBER ON THE INTERSECTION OF THE NUMBER OF ADULT HOUSEHOLD MEMBERS
LISTED IN TABLE 6 AND THE RESPECTIVE CODE FROM THE KISH TABLE.]

TABLE V7
Number of adult household members (recorded in Table V6)
Code: 1 2 3 4 5 6 (and more)
Sample the adult household member whose No. (in Table V6) is:
A 1 1 1 1 1 1
B1 1 1 1 1 2 2
B2 1 1 1 2 2 2
C 1 1 2 2 3 3
D 1 2 2 3 4 4
E1 1 2 3 3 3 5
E2 1 2 3 4 5 5
F 1 2 3 4 5 6

[INTERVIEWER! GO BACK TO TABLE V6 AND WRITE CODE ‘1’ IN COLUMN “Selected


household member” IN THE ROW WHERE THE SELECTED HOUSEHOLD MEMBER IS
RECORDED. WRITE CODE ‘0’ IN THE ROWS FOR ALL OTHER HOUSEHOLD MEMBERS.]

[INTERVIEWER! ASK THE FOLLOWING QUESTIONS AFTER SAMPLING THE RESPONDENT.]

I will have to interview [name, gender and age of selected


household member] ____________________________________
Is this person currently at home? 1 Yes 0 No
IF ‘YES’: Can I interview this household member?
Will this household member be back to the household today, tomorrow, or the day after
IF ‘NO’:
tomorrow?
Thank you very much!  NON-RESPONSE. FILL IN THE RESPECTIVE CODE IN THE
IF ‘NO’:
INTERVIEWER FORM.

CB 2015 Source Questionnaire 3


[INTERVIEWER! YOU ARE NOT ALLOWED TO REPLACE THE SAMPLED HOUSEHOLD
MEMBER!]
FILL IN THE RESPECTIVE CODE IN THE INTERVIEWER FORM AND COORDINATE
IF ‘YES’:
DATE AND TIME OF YOUR SECOND / THIRD VISIT.

[INTERVIEWER! IF THE SAMPLED HOUSEHOLD MEMBER IS NOT AT HOME AND WILL NOT
BE BACK FOR THE NEXT SEVERAL DAYS (DURING THE PERIOD OF FIELDWORK), THANK
THE HOUSEHOLD MEMBER AND DOCUMENT NON-RESPONSE IN THE INTERVIEWER FORM.]

[INTERVIEWER! IF THE SAMPLED HOUSEHOLD MEMBER REFUSES TO PARTICIPATE IN


THE SURVEY, THANK THE HOUSEHOLD MEMBER AND DOCUMENT NON-RESPONSE IN THE
INTERVIEWER FORM.]

[INTERVIEWER! IF MORE THAN ONE LANGUAGE IS OFFERED IN THIS CLUSTER, ASK


QUESTION L1 IN THE LANGUAGE THE SELECTED RESPONDENT ANSWERED YOU. IF ONLY
ONE LANGUAGE IS OFFERED IN THIS CLUSTER, START THE INTERVIEW WITHOUT ASKING
QUESTION L1.]

L1. In which language would you like to conduct this interview? Would you prefer… [READ
OUT] [INTLANG]
[INTERVIEWER! ONLY READ OUT LOUD THE LANGUAGES AVAILABLE IN THIS
CLUSTER.]
Armenian, 1
Azerbaijani, 2
Georgian, 3
(None of these languages) FILL IN THE
OTHER LANGUAGE: 4 RESPECTIVE
___________________________________ CODE IN THE
(Don’t know) -1 INTERVIEWER
(Refuse to answer) -2 FORM

[INTERVIEWER! IF THE RESPONDENT CHOOSES NONE OF THE LANGUAGES OFFERED,


THIS IS CONSIDERED NON-RESPONSE AND THE RESPECTIVE CODE SHOULD BE ENTERED
IN THE INTERVIEWER FORM. IF YOU CAN DETERMINE IT, ENTER THE RESPONDENT’S
LANGUAGE OF CHOICE IN THE SPACE PROVIDED (“OTHER LANGUAGE” IN QUESTION L1).
THANK THE RESPONDENT AND DOCUMENT NON-RESPONSE IN THE INTERVIEWER FORM.]

[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE LANGUAGE, START FILLING IN THE
QUESTIONNAIRE IN THE RESPECTIVE LANGUAGE.]

T1. Date of interview: [INTDATE] |____|____| |____|____|


Day Month

T2. Time interview started: [INTSTART]


|____|____| |____|____|
Hour Minute
[INTERVIEWER! USE 24-HOUR CLOCK.]

CB 2015 Source Questionnaire 4


1. First, I will read out a list of activities. Could you please tell me which of these
activities have you been involved in during the past 6 months?

[INTERVIEWER! READ OUT LINE BY LINE. ONE ANSWER IN EACH ROW.]

Don’t know
applicable)

Refuse to
answer
(Not
Yes

No
Helped a neighbor or a friend with
1. some household chores or childcare. 1 0 -5 -1 -2
[ACTCHORE]

2. Helped someone to resolve a dispute. 1 0 -5 -1 -2


[ACTRESDT]

Helped cleaning public space (entrance


3. to the apartment building, school or 1 0 -5 -1 -2
church yard, or other). [ACTCLEAN]

4. Went to a theatre or cinema. [ACTTHEA] 1 0 -5 -1 -2

Went to a restaurant. [ACTREST]


5. [INTERVIEWER! THIS INCLUDES PIZZERIA, 1 0 -5 -1 -2
‘SAKHINKLE’, McDONALD’S, etc.]

Did volunteer work without expecting


6. 1 0 -5 -1 -2
compensation. [ACTVLNT]

Written a letter or made a phone call to


7. a newspaper, TV or radio program. 1 0 -5 -1 -2
[ACTMEDIA]

Made a comment online in respect to


8. online media publication or video. 1 0 -5 -1 -2
[ACTINTNT]

Donated money to a church or mosque.


9. 1 0 -5 -1 -2
[ACTDNCH]

Made a contribution to a non-religious


charity, including donations by sms
10. and giving money to beggars. 1 0 -5 -1 -2
[ACTNRCH]
[INTERVIEWER! THIS DOES NOT INCLUDE
DONATIONS TO CHURCHES OR MOSQUES.]

Attended a public meeting. [ACTPBLM]


[INTERVIEWER! BY PUBLIC MEETING, WE
11. MEAN A GATHERING OF THE MEMBERS OF A 1 0 -5 -1 -2
GIVEN COMMUNITY IN ORDER TO DISCUSS
THE ISSUES THAT ARE OF IMPORTANCE FOR
THE COMMUNITY MEMBERS.]

CB 2015 Source Questionnaire 5


Don’t know
applicable)

Refuse to
answer
(Not
Yes

No
Signed a petition or demand/request,
12. 1 0 -5 -1 -2
including online petitions. [ACTSPET]

Part 1.

N1. [SHOW CARD N1] Overall, how happy would you say you are? Please use this
CARD, where code ‘1’ means “Extremely unhappy” and code ‘10’ means
“Extremely happy;” please choose any number between 1 and 10, which best reflects
your situation. [RATEHAP]

[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

N2. [SHOW CARD N2] Generally speaking, would you say that most people in /country/
can be trusted, or that you can’t be too careful in dealing with people? Please use this
CARD, where code ‘1’ corresponds to answer “You can’t be too careful” and code
‘10’ corresponds to answer “Most people can be trusted.” [GALLTRU]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

N3. Overall, how would you rate your health? Would you describe it as … [READ OUT]
[HLTHRAT]

Very good, 5
Good, 4
Fair, 3
Poor, 2
or Very poor? 1
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 6


N4. [SHOW CARD N4] When you get together with your close relatives and friends, how
often do you discuss each other’s private problems? Please use this CARD, where
code ‘1’ corresponds to answer “Never” and code ‘10’ corresponds to answer
“Always.” [DISCPRPR]

[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 7


N5. Now I am going to read out a list of nationalities. Can you please tell me whether you
approve or disapprove of people of your ethnicity doing business with an …
[INTERVIEWER! ASK LINE BY LINE ABOUT EACH ETHNIC
GROUP/NATIONALITY FROM TABLE N5. WRITE CODE CORRESPONDING TO
RESPONDENT’S ANSWER IN COLUMN N5. USE CODE ‘-1’ FOR “DON’T KNOW”
AND CODE ‘-2’ FOR “REFUSE TO ANSWER”.]

N6. Would you approve or disapprove of women of your ethnicity marrying an …


[INTERVIEWER! ASK LINE BY LINE ABOUT EACH ETHNIC GROUP FROM
TABLE N5. WRITE CODE CORRESPONDING TO RESPONDENT’S ANSWER IN
COLUMN N6. USE CODE ’-1’ FOR “DON’T KNOW” AND CODE ‘-2’ FOR
“REFUSE TO ANSWER”.]
TABLE N5 [doing business [women
with …] marrying …]
Approve 1 Approve 1
Disapprove 0 Disapprove 0
N5 N6
1. American? [BUSINUSA] [MARWUSA]

2. Armenian? [BUSINARM] [MARWARM]

3. Azerbaijani? [BUSINAZE] [MARWAZE]

4. Italian? [BUSINITA] [MARWITA]

5. Georgian? [BUSINGEO] [MARWGEO]

6. Iranian? [BUSINIRA] [MARWGEO]

7. Jew? [BUSINJEW] [MARWJEW]

8. Kurd, Yezidi? [BUSINKUR] [MARWKUR]

9. Russian? [BUSINRUS] [MARWRUS]

10. Turk? [BUSINTUR] [MARWTUR]

11. Ukrainian? [BUSINUKR] [MARWUKR]

‘12’ IS FOR ARMENIA ONLY:


12. Molokan? [BUSINMOL] [MARWMOL]

‘13’ THROUGH ‘16’ ARE FOR


GEORGIA ONLY:
13. Abkhazian? [BUSINABK] [MARWABK]

14. Ossetian? [BUSINOSS] [MARWOSS]

15. Armenian living in Georgia? [BUSINARG] [MARWARG]

16. Azerbaijani living in Georgia? [BUSINAZG] [MARWAZG]

CB 2015 Source Questionnaire 8


M1.1 In your opinion, will foreigners that come to live in Georgia contribute to the
economic development of Georgia or not? [IMMIGDEV]

Will contribute 3
Sometimes will contribute, sometimes – not 2
Will not contribute 1
(Don’t know) -1
(Refuse to answer) -2

M2.2 [Show CARD M2] Have you had any form of contact with foreigners in Georgia who
have stayed here for longer than 3 months? [IMMIGCON]

[INTERVIEWER! WE ARE INTERESTED WHETHER THE RESPONDENT HAS


HAD ANY KIND OF COMMUNICATION / RELATIONSHIP WITH SUCH
FOREIGNERS.]

Yes, I’ve often been in contact with them. 1


Yes, I’ve rarely been in contact with them. 2
No, I’ve never been in contact with them. 3
(Don’t know) -1
(Refuse to answer) -2

M3.3 How would you characterize your attitude towards the foreigners who come to
Georgia and stay here for longer than 3 months? Is it … [READ OUT] [IMMIGATT]

Very good, 5
Good, 4
Neutral, 3
Bad, 2
or Very bad? 1
(Don’t know) -1
(Refuse to answer) -2

1
Question asked in Georgia only.
2
Question asked in Georgia only.
3
Question asked in Georgia only.
CB 2015 Source Questionnaire 9
N7. Do you have a close relative currently living abroad, outside the borders of
/country/? [CLRLABR]

[INTERVIEWER! BY ‘LIVING’ WE MEAN, THE PERSON HAS SPENT AT LEAST


A TOTAL OF 3 MONTH ABROAD.]
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

N8. Do you have any close friends currently living abroad, outside the borders of
/country/? [CLFRDAB]
[INTERVIEWER! BY ‘LIVING’ WE MEAN, THE PERSON HAS SPENT AT LEAST
A TOTAL OF 3 MONTH ABROAD.]
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

N9. [SHOW CARD N9] All things considered, how satisfied are you with your own life as
a whole nowadays? Please use this CARD, where code ‘1’ means “Not satisfied at
all” and code ‘10’ means “Completely satisfied.” [LIFESAT]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

N10. [SHOW CARD N10] Please tell me which comes closest to your view on this CARD,
where code ‘1’ means “Everything in life is determined by fate” and code ‘10’ means
“People shape their fate themselves.” [FATEINLF]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 10


N11. [SHOW CARD N11] Using this CARD, where code ‘1’ means “Not at all likely” and
code ‘10’ means “Very likely,” please tell me, how likely or how unlikely is it for you
to receive some help from your close relatives, friends, and neighbors in the following
matters:
[INTERVIEWER! READ OUT THE STATEMENTS ONE BY ONE.]

(Don’t (Refuse to
Code:
know) answer)
Repair your house or apartment.
[EXPREPN]
1. [INTERVIEWER! THE QUESTION ASKS ABOUT |___|___| -1 -2
ANY HELP, INCLUDING PHYSICAL HELP,
PROVIDING INFORMATION, RECOMMENDING
A GOOD WORKMEN, ETC.]

2. Take care of you if you are ill. [EXPILL] |___|___| -1 -2

Lend money for a month to cover your


3. |___|___| -1 -2
usual expenses. [EXPMON]

N12. [SHOW CARD N12] Using this CARD, where code ‘1’ means “Can never be justified”
and code ‘10’ means “Can always be justified,” please tell me to what extent, in your
opinion, each of the following actions can be justified or not?
[INTERVIEWER! READ OUT THE STATEMENTS ONE BY ONE.]

(Don’t (Refuse to
Code:
know) answer)

1. Getting a divorce. [JUSDVRS] |___|___| -1 -2

2. Having an abortion. [JUSABOR] |___|___| -1 -2

3. Cheating on one’s spouse. [JUSSPOUS] |___|___| -1 -2

CB 2015 Source Questionnaire 11


N13. [SHOW CARD N13] There have been discussions lately about the results of public
opinion polls, like the one we are conducting right now, in /country/. Generally
speaking, to what extent do say you trust or distrust the results of public opinion polls
conducted in our country? Please use this CARD, where code ‘1’ means “Do not trust
at all” and code ‘10’ means “Completely trust.” [TRUPOLLR]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
GO TO
[DO NOT READ!] (Not applicable – don’t know anything about -5
J1
these polls)
(Don’t know) -1
(Refuse to answer) -2

N14. [SHOW CARD N14] And to what extent, in your opinion, do most of the people
around you trust or distrust the results of public opinion polls conducted in our
country? Please use this CARD. [TRUPOLLO]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

N15. [SHOW CARD N15] Using this CARD, where code ‘1’ means “Completely disagree”
and code ‘10’ means “Completely agree,” please tell me to what extent you agree or
disagree with each of the following statements.
[INTERVIEWER! ASK ONE BY ONE.]

(Don’t (Refuse to
Code:
know) answer)

Public opinion polls help all of us get


1. better knowledge about the society |___|___| -1 -2
we live in. [PLSKNOW]
Ordinary people trust public opinion
2. poll results only when they like the |___|___| -1 -2
results. [PLLIKEOP]
Public opinion polls can only work
well in developed democratic
3. |___|___| -1 -2
countries, but not in countries like
/country/. [PLSDEMO]
The government should consider the
4. results of public opinion polls while |___|___| -1 -2
making political decisions.
[PLSGVRNM]

CB 2015 Source Questionnaire 12


(Don’t (Refuse to
Code:
know) answer)

Politicians trust public opinion poll


5. results only when these are favorable |___|___| -1 -2
for them or for their party.
[PLLIKEPO]
I think I understand quite well how
6. public opinion polls are conducted. |___|___| -1 -2
[PLSUNDST]

Part 2.
I will now ask you several questions about your activities.

J1. [SHOW CARD J1] Which of the following best describes your situation? Please
think about the activity or situation which is primary for you. [EMPLSIT]

[INTERVIEWER! ACCEPT ONLY ONE ANSWER REFLECTING PRIMARY


ACTIVITY OF THE RESPONDENT.]

Retired and not working 1


Student and not working 2
 ASK J2
Housewife and not working 3
Unemployed 4
Working either part-time or full time (even if the
respondent is retired / is a student), including seasonal 5
work  GO TO J6
Self-employed (even if the respondent is retired / is a
6
student), including seasonal work
Disabled and unable to work 7
Other 8  GO TO J11
(Don’t know) -1
(Refuse to answer) -2

J2. From which year have you not had a job? [UNEMYRS]
[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR.]

|____|____|____|____| YEAR
Never had a job -5
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 13


J3. Are you currently interested in a job, or not? [INTSTJOB]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J4. Have you been looking for a job during the past four weeks, or not? [LOOKJOB]

[INTERVIEWER! WE ARE INTERESTED WHETHER THE RESPONDENT WAS


ACTIVELY LOOKING FOR A JOB DURING THE PAST 4 WEEKS.]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J5. If a suitable job were available, would you be able to start working within the next
14 days? [JOBSTART]
Yes 1
No 0  GO TO J11
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 14


[INTERVIEWER! QUESTIONS J6 THROUGH J10 ARE ONLY FOR THOSE
RESPONDENTS WHO SAID THEY CURRENTLY WORK (I.E. THOSE WHO ANSWERED
“5” OR “6” TO QUESTION J1).]

J6. [SHOW CARD J6] Speaking about your primary place of employment only, which of
the following best describes your status and the type of workplace? [WORKTYP]

[INTERVIEWER! IF THE RESPONDENT HAS MORE THAN ONE JOB,


QUESTIONS J6 THROUGH J10 ARE ABOUT HIS/HER PRIMARY JOB ONLY.
“PRIMARY” IS SELF-DEFINED. ACCEPT ONLY ONE ANSWER.]
Run my own business / Self-employed without employees,
including working on a land plot 1

Run my own business / Self-employed with employees, including


2
working on a land plot
Employee in a small local4 family business / household production 3
Employee in a medium-sized or big local private organization,
4
company, or enterprise
Employee in a state organization, company, or enterprise 5
Employee in a foreign or international organization, company,
6
enterprise, or joint venture
Employee in a local or international non-governmental or non-
7
profit organization
Other 8
(Don’t know) -1
(Refuse to answer) -2

J7. From which year have you been working at this workplace? [WORKYRS]
[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR. WE ARE
INTERESTED FROM WHICH YEAR HAS THE RESPONDENT BEEN WORKING
AT THIS ORGANIZATION/COMPANY, IRRESPECTIVE OF WHETHER HIS/HER
POSITION HAS CHANGED OR NOT.
IF THE RESPONDENT CANNOT REMEMBER THE EXACT YEAR, PROBE
AGAIN. IF THE RESPONDENT STILL CANNOT REMEMBER THE YEAR, ASK:
“From which decade have you been working at this job?” AND [SHOW CARD J7].
WRITE DOWN THE FOUR-DIGIT CODE FOR DECADE FROM THE SHOW
CARD.]

|____|____|____|____| YEAR
(Don’t know) -1
(Refuse to answer) -2

4
NOTE FOR TRANSLATION: “Local” means national in the sense that this business is both national in origin and
operates in the given country.
CB 2015 Source Questionnaire 15
J8. [SHOW CARD J8] Which of the following best describes the sector in which you
work? [WORKSEC]
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

Agriculture5, hunting, and forestry 1


Fishing 2
Mining and quarrying 3
Manufacturing 4
Electricity, gas, or water supply 5
Construction 6
Wholesale and retail trade; repair of motor vehicles, motorcycles
and personal and household goods 7

Hotels, restaurants, or cafes 8


Transport, storage, communication 9
Financial intermediation / Banking 10
Real estate, property- and pent-related activities 11
Government, public administration and defense 12
Education 13
Healthcare and social work 14
Civil society / NGOs 15
Mass media 16
Other 17
(Don’t know) -1
(Refuse to answer) -2

5
NOTE FOR TRANSLATION: This includes all those who work in agricultural sector (‘сельское хозяйство’),
including people who are informally self-employed. For example, people who collect apples from their garden and
sell them on the road also count here.
CB 2015 Source Questionnaire 16
J9. [SHOW CARD J9] And which of the following best describes the job you do? [JOBDESC]
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

Armed forces occupation [e.g. officers and other occupations in the


10
Armed forces]
Elementary occupation [e.g. helpers, cleaners, laborers (including
9
agricultural laborers), street workers]
Plant and machine operator / assembler [e.g. assemblers, drivers,
8
other machine operators]
Craft and related trades worker [e.g. electrical workers; building
workers; metal or machinery workers; food processing workers; 7
wood workers]
Skilled agricultural / forestry / fishery worker [including farmers,
6
fishers, hunters, gatherers]
Service / sales worker [including personal care workers, e.g. baby
5
sitters]
Clerical support worker [including customer service clerks,
4
numerical and material recording clerks, keyboard clerks]
Technician / Associate professional [e.g. information and
communication technicians, associate professionals in health, 3
business, science and engineering, legal sphere]
Professional [in the fields of science, health, education, business,
2
law, culture, etc.]
Manager [e.g. chief executives, senior officials] 1
Other 11
(Don’t know) -1
(Refuse to answer) -2

J10. [SHOW CARD J10] Using this CARD, please tell me, overall, how satisfied or
dissatisfied are you with your job? [JOBSATFN]

Very Somewhat [In the Somewhat Very (Don’t (Refuse to


dissatisfied dissatisfied middle] satisfied satisfied know) answer)
1 2 3 4 5 -1 -2

CB 2015 Source Questionnaire 17


INTERVIEWER!
THE FOLLOWING QUESTIONS SHOULD BE ASKED TO ALL RESPONDENTS.

J11. [SHOW CARD J116] Speaking about your personal monetary income last month,
after all taxes are paid, to which of the following groups do you belong? Please think
of all sources of income that you had last month. [PERSINC]
[INTERVIEWER! ASK ABOUT RESPONDENT’S NET INCOME LAST MONTH.]

More than USD 1200 1


USD 801 – 1200 2
USD 401 – 800 3
USD 251 – 400 4
USD 101 – 250 5
USD 51– 100 6
Up to USD 50 7
(0) 8
(Don’t know) -1
(Refuse to answer) -2

J12. Do you currently have any personal savings? [SAVPERS]

[INTERVIEWER! ASK ABOUT RESPONDENT’S PERSONAL SAVINGS ONLY.]

Yes 1
No 0
GO TO
(Don’t know) -1 J137
(Refuse to answer) -2

6
Show Card in local currencies and updated based on the latest exchange rate.
7
This skip only applies to questionnaire used in Armenia.
CB 2015 Source Questionnaire 18
J12.1_ARM.8 [SHOW CARD J12.1] What share of your savings do you keep in bank? [SAVBANK]
[INTERVIEWER! ASK ABOUT RESPONDENT’S PERSONAL SAVINGS
ONLY.]

0% 1
GO TO J13
Less than 25% 2
25% to 50% 3
51% to 75% 4
More than 75% 5
(Don’t know) -1 →
(Refuse to answer) -2 GO TO J13

J12.2_ARM.9 Speaking of your savings that you keep in bank, in which currency do you
keep these savings? [SVBNKCUR]

Only AMD 1
GO TO J13
Only in foreign currency(s) 2
Both in AMD and in foreign currency(s) 3
(Don’t know) -1
GO TO J13
(Refuse to answer) -2

J12.3_ARM.10 Still speaking of your savings that you keep in bank, could you please specify
what is the share of these savings in AMD, and in foreign currency(s)?

[INTERVIEWER! ASK SEPARATELY ABOUT THE SHARE OF SAVINGS


IN AMD AND RECORD THE RESPONDENT’S ANSWER.
THEN ASK ABOUT THE SHARE OF SAVINGS IN ANY FOREGN
CURRENCY (COMBINED) AND RECORD THE RESPONDENT’S
ANSWER.]

% (Don’t (Refuse to
know) answer)
AMD [SHAREAMD]
Any foreign currency [SHAREFCR]

8
Question asked in Armenia only.
9
Question asked in Armenia only.
10
Question asked in Armenia only.
CB 2015 Source Questionnaire 19
J13. Do you currently have any personal debts? [DEBTPERS]
[INTERVIEWER! ASK ABOUT RESPONDENT’S PERSONAL DEBTS ONLY,
INCLUDING CREDIT FROM A NEIGHBORHOOD SHOP, IF ANY.]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J14. Does anybody currently owe you any money? [OWEMON]


Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J15. Do you currently have a bank account or a bank card? [BANKACC]


Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J16. [SHOW CARD J16] Which of the following factors do you consider most important
for getting a good job in /country/? [GETJOBF]

[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

Age 1
Appearance 2
Connections 3
Education 4
Hard work 5
Luck 6
Talent 7
Professional abilities, work experience 8
Doing favors for the ‘right’ people 9
(Other) 10
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 20


J17. Has anybody in your household started a new job during the last 12 months?
[NEWHHJOB]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J18. Has anybody in your household lost11 his/her job during the last 12 months? [JOBLOST]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

J19_ARM.12 Do you currently participate in the cumulative pension system? [PARTCMPC]

Yes 1
No 0
(Don’t know what the cumulative pension system GO TO
-5
is) P1a
(Don’t know) -1
(Refuse to answer) -2

J20_ARM.13 [Show CARD J20_ARM] Using this CARD, please tell me how much do you
support or not the introduction of the cumulative pension system in Armenia?
[SUPCUMPC]

Do not support at all 1


Rather don’t support 2
Neutral 3
Rather support 4
Strongly support 5
(Don’t know) -1
(Refuse to answer) -2

11
NOTE FOR TRANSLATION: By “lost job”, we mean this happened against the person’s will – the person was
either fired, or the workplace does not exist any longer, etc.
12
Question asked in Armenia only.
13
Question asked in Armenia only.
CB 2015 Source Questionnaire 21
Part 3.
P1a. [SHOW CARD P1a] There are different opinions regarding the direction in which
/country’s/ domestic politics are going. Which of the following would you personally
agree with? [POLDIRN]
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

Politics is definitely going in the right direction. 5


Politics is going mainly in the right direction. 4
Politics does not change at all. 3
Politics is going mainly in the wrong direction. 2
Politics is definitely going in the wrong direction. 1
(Don’t know) -1
(Refuse to answer) -2

P1b. [SHOW CARD P1b] Which of the two statements on this CARD do you agree with,
and to what extent? Please choose a code from this CARD that best corresponds to
your opinion. [EVENTUAL]
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

(Don’t know)

(Refuse to
Situation in Eventually,

answer)
/country/ will everything will be
never improve. well in /country/.

1 2 3 4 5 6 7 8 9 10 -1 -2

P2. [SHOW CARD P2] Using this CARD, please tell me, overall, how well do you think
TVs in /country/ inform the population about what is actually going on in /country/?
[QUALINF]

Very Quite [In the (Don’t (Refuse to


Quite well Very well
poorly poorly middle] know) answer)
1 2 3 4 5 -1 -2

P3. [SHOW CARD P3] To what extent do you agree or disagree with the opinion that,
overall, TV journalists in /country/ are serving interests of people like you? Please
use this CARD. [TVSRVPP]
Partially
Completely Somewhat agree, Somewhat Completely (Don’t (Refuse to
disagree disagree partially agree agree know) answer)
disagree
1 2 3 4 5 -1 -2
CB 2015 Source Questionnaire 22
P4. [SHOW CARD P4] I will read out a list of social institutions and political unions.
Please assess your level of trust toward each of them on a 5-point scale, where code
‘1’ means “Fully distrust” and code ‘5’ means “Fully trust.” First, please tell me how
much do you trust or distrust /country’s/ …
[INTERVIEWER! READ OUT THE INSTITUTIONS LINE BY LINE.14 ACCEPT
ONE ANSWER IN EACH ROW.
IF THE RESPONDENT NEVER HEARD OF THE SOCIAL INSTITUTION YOU ASK
ABOUT, CIRCLE CODE ‘-1’ (DON’T KNOW).]

ROTATION CODE: 1 18 [ROTCODE]

TABLE P4 Neither
(Refuse
Fully Rather trust Rather Fully (Don’t
to
distrust distrust nor trust trust know) answer)
distrust

1. Healthcare system? 1 2 3 4 5 -1 -2
[TRUHLTH]

2. Banks? [TRUBANK] 1 2 3 4 5 -1 -2

3. Educational system? 1 2 3 4 5 -1 -2
[TRUEDUC]
State Students
4. Admissions 1 2 3 4 5 -1 -2
Committee? [TRUNEAC]
5. Army? [TRUARMY] 1 2 3 4 5 -1 -2

6. Court system? 1 2 3 4 5 -1 -2
[TRUCRTS]

7. NGOs? [TRUNGOS] 1 2 3 4 5 -1 -2

8. Parliament? [TRUPARL] 1 2 3 4 5 -1 -2
Executive government
9. (Prime minister and 1 2 3 4 5 -1 -2
ministers)? [TRUEXEC]
10. President? [TRUPRES] 1 2 3 4 5 -1 -2

11. Police? [TRUPOLI] 1 2 3 4 5 -1 -2

12. Political parties? 1 2 3 4 5 -1 -2


[TRUPPS]

13. Media? [TRUMEDI] 1 2 3 4 5 -1 -2

14. Local government? 1 2 3 4 5 -1 -2


[TRULOCG]

14
The software was rotating the sequence of the institutions during the interviews, and recording the Rotation code.
CB 2015 Source Questionnaire 23
Neither
(Refuse
Fully Rather trust Rather Fully (Don’t
to
distrust distrust nor trust trust know) answer)
distrust
Religious institutions to
15. which you belong? 1 2 3 4 5 -1 -2
[TRURELI]

16. Ombudsman? 1 2 3 4 5 -1 -2
[TRUOMB]

16 Central Bank of
a. Armenia?15 1 2 3 4 5 -1 -2
[TRUCBARM]

17. European Union? 1 2 3 4 5 -1 -2


[TRUSTEU]

18. United Nations? 1 2 3 4 5 -1 -2


[TRUSTUN]

15
Asked in Armenia only.
CB 2015 Source Questionnaire 24
P5a. What do you think is the most important issue facing /country/ at the moment?
[IMPISS1]

[INTERVIEWER! DO NOT READ OUT THE OPTIONS. CIRCLE CODE


CORRESPONDING TO THE RESPONDENT’S ANSWER IN COLUMN P5a. ONLY
ONE ANSWER.]

P5b. And tell me the second most important issue facing /country/ at the moment.
[IMPISS2]

[INTERVIEWER! DO NOT READ OUT THE OPTIONS. CIRCLE CODE


CORRESPONDING TO THE RESPONDENT’S ANSWER IN COLUMN P5b. DO NOT
CIRCLE THE SAME CODE AS THE ONE CIRCLED IN COLUMN P5a. ONLY ONE
ANSWER.]
P5a P5b
Unaffordability of healthcare 1 1
Corruption 2 2
Unfairness of courts 3 3
Unfairness of elections 4 4
Violation of human rights 5 5
Unemployment 6 6
Not having NATO membership 7 7
Lack of peace in the country 8 8
Low pensions 9 9
Political instability in the country 10 10
Poverty 11 11
Violation of property rights 12 12
Low quality of education 13 13
Unaffordability of professional or higher
14 14
education
Problematic relations with Russia 15 15
Rising prices / Inflation 16 16
Unsolved territorial conflicts 17 17
Low wages 18 18
Religious intolerance 19 19
Gender inequality 20 20
Emigration 21 21
Other 22 22
(Not applicable / Nothing else important) -5
(Don’t know) -1 -1
(Refuse to answer) -2 -2

CB 2015 Source Questionnaire 25


P6. [SHOW CARD P6] When you get together with your friends and close relatives, how
often do you discuss politics / current affairs? Please use this CARD, where code ‘1’
means “Never,” and code ‘10’ means “Always.” [DISCPOL]
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

M7.16 The Government of Georgia is working on a visa liberalization process with the EU.
In your opinion, will successful completion of the visa liberalization process benefit
or not benefit ordinary people living in Georgia? [VLABENF]

Yes 1
No 0
[DO NOT READ!] (I don’t know what the visa
-5
liberalization process is)
GO TO P7
(Don’t know) -1
(Refuse to answer) -2

M8.17 In your opinion, is each of the following statements about visa liberalization with the
EU correct or incorrect?
[INTERVIEWER! READ OUT THE STATEMENTS ONE BY ONE. ONE ANSWER
IN EACH ROW.]
(Refuse
(Don’t
Correct Incorrect to
know)
answer)
Visa liberalization means that it will
1. be easy for Georgian citizens to get 1 0 -1 -2
visas from EU countries. [TFVISEAS]
Visa liberalization means that
citizens of EU countries will not be
2. 1 0 -1 -2
required to have visas in order to
visit Georgia. [TFEUNOVS]
Visa liberalization means that, in
certain cases, Georgian citizens will
3. 1 0 -1 -2
be able to travel to EU countries
without visas. [TFGENOVS]

16
Question asked in Georgia only.
17
Question asked in Georgia only.
CB 2015 Source Questionnaire 26
(Refuse
(Don’t
Correct Incorrect to
know)
answer)
Visa liberalization means that
Georgian citizens who have
emigrated will gain living and work
4. 1 0 -1 -2
permits in the EU countries, without
having to apply for additional
documents. [TFGERES]
Georgian citizens will be able to
5. benefit from visa liberalization only 1 0 -1 -2
if they possess biometric passports.
[TFGEBIOM]
The conditions of the visa
liberalization agreement will be
6. effective only if the length of stay in 1 0 -1 -2
EU countries does not exceed 3
months. [TFVISTRE]

P7. In /country/ today, do you think or not that people like yourself have the right to
openly say what they think? [FREESPK]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

P8. Under the present government in /country/, do you completely agree, somewhat
agree, somewhat disagree, or completely disagree that people like yourself are
treated fairly by the government? [FAIRTRT]

Completely agree 4
Somewhat agree 3
Somewhat disagree 2
Completely disagree 1
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 27


P9. [SHOW CARD P9] Please tell me which of the following statements you agree with?
[GOVTROL]

[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,


ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
People are like children; the government Government is like an employee; the
should take care of them like a parent. people should be the bosses who control the
government.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2

P10. [SHOW CARD P10] Please tell me which of the following statements do you agree with?
[OBJCOUR]

[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,


ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
The courts in /country/ favor some citizens The courts in /country/ treat all citizens
over others. equally, rather than favoring some over
others.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 28


P11. [SHOW CARD P11] Which of the following statements do you agree with?
[PROTEST]

[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,


ASK: “Do you agree with this statement, or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
People should participate in protest actions People should not participate in protest
against the government, as this shows the actions against the government, as it
government that the people are in charge. threatens stability in our country.
Agree very strongly Agree very strongly
Agree with Statement 1 Agree with Statement 2
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2

P12. If presidential elections were held next Sunday, would you participate in the
elections or not? Would you … [READ OUT] [VOTPRCP]
Certainly participate, 4
Most probably participate, 3
Most probably not participate, 2
or Certainly not participate? 1
(Don’t know) -1
(Refuse to answer) -2

P13. Did you vote in the last national elections on [date]?18 [VOTLELE]
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

P14. Would you say that the most recent national elections were conducted … [READ
OUT] [ELCOND]
Completely fairly, 3
To some extent fairly, 2
or Not at all fairly? 1
(Don’t know) -1
(Refuse to answer) -2

18
Last national elections named in each country.
CB 2015 Source Questionnaire 29
P16. [SHOW CARD P16] Using this CARD, where code ‘1’ means “Not important at all”
and code ‘10’ means “Extremely important”, please tell me, in your opinion, how
important or unimportant it is for a good citizen to…

[INTERVIEWER! READ OUT THE STATEMENTS ONE BY ONE.]

(Don’t (Refuse to
Code:
know) answer)

1. … always obey laws? [ICITLAW] |___|___| -1 -2

… support the government on every


2. |___|___| -1 -2
occasion? [ICITGOV]

3. … vote in elections? [ICITVOTE] |___|___| -1 -2

4. … protect traditions? [ICITTRAD] |___|___| -1 -2

… do volunteer work meeting the


5. needs of the community without |___|___| -1 -2
expecting any compensation?
[IMPGCVW]

… support people who are worse off


6. |___|___| -1 -2
than themselves? [ICITHELP]

7. … be critical towards the government? |___|___| -1 -2


[ICITOPP]

P17. In your opinion, how much of a democracy is /country/ today? Is it … [READ OUT]
[CNTRDEM]

A full democracy, 4
A democracy but with minor problems, 3
A democracy but with major problems, 2
or Not a democracy? 1
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 30


P18. [SHOW CARD P18] Which of these three statements is closest to your opinion?
[ATTDEM]

[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]

Democracy is preferable to any other kind of government. 1


In some circumstances, a non-democratic government can be 2
preferable.
For someone like me, it doesn’t matter what kind of government 3
we have.
(Don’t know) -1
(Refuse to answer) -2

P18b_ARM.19 [SHOW CARD P18b_ARM] Using this CARD, please tell me to what extent
do you support or not the constitutional reform to be implemented in Armenia?
[SUPCONST]

(Have
not
Don’t Rather (Refuse
Rather Fully heard (Don’t
support at not Neutral to
support support about know)
all support answer)
this
reform)

1 2 3 4 5 -5 -1 -2

P19. [SHOW CARD P19] Using a scale of 1 to 5, where code ‘1’ means no support and
code ‘5’ means your full support, to what extent would you support /country’s/
membership in NATO? [NATOSUPP]

Partially
Don’t (Refuse
Rather not support, Rather Fully (Don’t
support at to
support partially don’t support support know)
all answer)
support
1 2 3 4 5 -1 -2

19
Question asked in Armenia only.
CB 2015 Source Questionnaire 31
P20. [SHOW CARD P19] Using the same CARD, please tell me to what extent would you
support /country’s/ membership in the European Union? [EUSUPP]

Partially
Don’t (Refuse
Rather not support, Rather Fully (Don’t
support at to
support partially don’t support support know)
all answer)
support
1 2 3 4 5 -1 -2

P21_ARM.20 [SHOW CARD P19] Using the same CARD, please tell me to what extent do
you support Armenia’s membership in the Eurasian Economic Union? [EECSUPPA]

Partially
Don’t (Refuse
Rather not support, Rather Fully (Don’t
support at to
support partially don’t support support know)
all answer)
support
1 2 3 4 5 -1 -2

P21_GEO.21 [SHOW CARD P19] Using the same CARD, please tell me to what extent
would you support Georgia’s membership in the Eurasian Economic Union?
[EECSUPP]

Partially
Don’t (Refuse
Rather not support, Rather Fully (Don’t
support at to
support partially don’t support support know)
all answer)
support
1 2 3 4 5 -1 -2

P22. In your opinion, which country is currently the main friend of /country/? [MAINFRN]

[INTERVIEWER! WRITE THE COUNTRY NAMED BY THE RESPONDENT.


ONLY ONE ANSWER.]

________________________________
None -5
(Don’t know) -1
(Refuse to answer) -2

20
Asked in Armenia only.
21
Asked in Georgia only.
CB 2015 Source Questionnaire 32
P23. In your opinion, which country is currently the main enemy of /country/? [MAINENEM]

[INTERVIEWER! WRITE THE COUNTRY NAMED BY THE RESPONDENT.


ONLY ONE ANSWER.]

________________________________
None -5
(Don’t know) -1
(Refuse to answer) -2

P24. [SHOW CARD P24] In your opinion, generally speaking, the traditions of the
population of which of the following regions is closest to the /country’s/ traditions?
[CLSTRAD]

[INTERVIEWER! CIRCLE THE CODE CORRESPONDING TO THE


RESPONDENT’S ANSWER IN COLUMN P24. ONLY ONE ANSWER.]

P25. [SHOW CARD P24] In your opinion, generally speaking, the modern culture of the
population of which of the following regions is closest to the /country’s/ culture?
[CLSMDCL]

[INTERVIEWER! CIRCLE THE CODE CORRESPONDING TO THE


RESPONDENT’S ANSWER IN COLUMN P25. ONLY ONE ANSWER.]

P24 P25
Neighboring countries in the South Caucasus 1 1
Neighboring countries in Asia, such as Iran, Turkey 2 2
North Caucasus 3 3
European part of Russia (excluding the regions of the North 4 4
Caucasus)
Eastern Europe (e.g. the Baltic states, Poland, Hungary, Czech 5 5
Republic)
Western Europe (e.g. France, Italy, Germany, Austria) 6 6
USA 7 7
Other 8 8
(Don’t know) -1 -1
(Refuse to answer) -2 -2

CB 2015 Source Questionnaire 33


P26. Have you or any member of your household been in a situation during the last 12
months when you/they had to pay a bribe in order to get a service or to obtain
preferential treatment or consideration? [PAYBRIB]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

Part 4.
Now, I am going to ask for some information about yourself.

D1. There are a number of ethnic groups living in /country/. Which ethnic group do you
consider yourself a part of? [ETHNIC]

[INTERVIEWER! DO NOT READ OUT THE OPTIONS. ACCEPT ONLY ONE


ANSWER.]
Armenian 1
Azerbaijani 2
Georgian 3
Other Caucasian ethnicity (Abkhazian, Lezgin,
4
Ossetian, Talysh, etc.)
Russian 5
Kurd or Yezid 6
Other ethnicity 7
(Don’t know) -1
(Refuse to answer) -2

D2. Starting with elementary school and counting up to the highest level of education you
have achieved to date, how many years of study have you completed? [EDUYRS]

[INTERVIEWER! WRITE DOWN THE NUMBER OF YEARS.]

|____|____| YEARS
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 34


D3. [SHOW CARD D3] What is the highest level of education you have achieved to date?
[RESPEDU]
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2

D4. [SHOW CARD D3] What is the highest level of education your father has achieved?
[RFAEDUC]
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2

D5. [SHOW CARD D3] What is the highest level of education your mother has achieved?
[RMOEDUC]
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 35


D6. [SHOW CARD D6] Using this CARD, please tell me which one of these levels best
describes your ability in the following:
[INTERVIEWER! READ OUT LINE BY LINE FROM TABLE D6. ACCEPT ONE
ANSWER PER ROW.]

Intermediate
knowledge

Advanced

(Refuse to
Beginner
No basic

answer)
TABLE D6

(Don’t
know)
1. Russian language [KNOWRUS] 1 2 3 4 -1 -2

2. English language [KNOWENG] 1 2 3 4 -1 -2

Other foreign language, except


3. 1 2 3 4 -1 -2
English or Russian [KNOWOTH]
Computer (Microsoft Office
4. programs, excluding games) 1 2 3 4 -1 -2
[COMPABL]

D7. Which foreign language, if any, do you think should be mandatory in secondary
schools of /country/? [FLMANDSC]
[INTERVIEWER! DO NOT READ OUT THE OPTIONS. ACCEPT ONLY ONE
ANSWER. IF THE RESPONDENT NAMES MORE THAN ONE LANGUAGE, SAY:
“Please tell me the most important.”]

No foreign language should be mandatory 1


English 2
Russian 3
Other foreign language 4
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 36


We have several questions about how you use the Internet.

D8. How often do you use the Internet? Do you use the Internet … [READ OUT]
[FRQINTR]

Every day, 1
At least once a week, 2  GO TO
At least once a month, 3 D10
Less often, 4
or Never? 5 ASK D9
[DO NOT READ] I don’t know what the Internet is. 6
 GO TO
(Don’t know) -1 D11
(Refuse to answer) -2

D9. What is the main reason why you do not use the Internet? [NOINTWHY]

[INTERVIEWER! DO NOT READ OUT THE OPTIONS. CORRESPOND. ACCEPT


ONLY ONE ANSWER.]

I don't have a phone line, a modem or another way to


1
connect to the Internet
I do not know how to use the Internet 2
I am not interested in / I do not want to use the Internet 3
I do not have access to computer 4
I am concerned using the Internet would be a threat to
5
my privacy
The Internet is too expensive 6
 GO
Connection is too slow in my settlement 7
TO D11
I don’t have time 8
The Internet is distasteful or immoral 9
I do not need the Internet 10
There is no access to the Internet in my settlement 11
I am not allowed to use it 12
Other 13
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 37


D10. [SHOW CARD D10] Which of the following do you do most frequently when you are
browsing the Internet? Please name three most frequent activities.

[INTERVIEWER. WRITE CODE ‘1’ IN THE ROWS WHERE THE RESPECTIVE


ANSWER WAS MENTIONED BY THE RESPONDENT, AND CODE ‘0’ IN ALL
OTHER ROWS. ACCEPT UP TO THREE ANSWERS.]

(Don’t know) -1
(Refuse to answer) -2
1 Receive / send emails [INTACEM]
Use social networking sites (e.g. Odnoklassniki,
2
Facebook, My Space, Google+, etc.) [INTASCNA]

3 Use Skype (for instant messaging and for calls)


[INTASKY]
Use instant messenger other than Skype (Google
4
Talk, ICQ, MSN, etc.) [INTAIMSG]
5 Engage in forum discussions [INTACFD]
6 Write a blog / read other’s blogs [INTACBL]

7 Search for information (Google, Wiki, etc.)


[INTACIN]
8 Shop [INTACSH]
Read / listen to / watch the news, including
9 watching online TV, apart from news on social
networking sites [INTACNW]

10 Download / Listen to / Watch music/videos/movies


[INTACEN]
11 Play online games [INTACGM]
12 Visit dating websites [INTACDW]
13 Other [INTACOT]

D11. What do you think is the ideal number of children per family in /country/?
[IDEALNCH]

[INTERVIEWER! WRITE DOWN THE NUMBER.]

|____|____| CHILDREN

(Whatever number the God will give us) -5


(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 38


D12. Which religion or denomination, if any, do you consider yourself belong to?
[RELGNEW]

[INTERVIEWER! DO NOT READ OUT OPTIONS. CORRESPOND. ACCEPT ONLY


ONE ANSWER.]

Armenian Apostolic Church 1


Roman Catholic Church 2
Orthodox Church 3
Protestant Church 4
Other Christian Church or group (Jehovah’s Witness,
5
Mormons, etc.)
Sunni Islam 6
Shia Islam 7
Islam 8
Judaism 9
Other 10
None -5
 GO TO D17
(Don’t know) -1
(Refuse to answer) -2

D13. [SHOW CARD D13] How important is religion in your daily life? Please use this
CARD. [RELIMP]
Not at all important 1
Not very important 2
Rather important 3
Very important 4
(Don’t know) -1
(Refuse to answer) -2

D14. [SHOW CARD D14] Apart from special occasions such as weddings and funerals,
about how often do you attend religious services nowadays? Please use this CARD.
[RELSERV]
Every day 1
More than once a week 2
Once a week 3
At least once a month 4
Only on special holidays 5
Less often 6
Never 7
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 39


D15. How often do you fast when it is required by your religion? Do you… [READ OUT]
[RELFAST]

Always fast, 1
Often fast, 2
Sometimes fast, 3
Rarely fast, 4
or Never fast? 5
[DO NOT READ] (Fasting is not required in my religion) -5
(Don’t know) -1
(Refuse to answer) -2

D16. [SHOW CARD D16] Overall, how religious would you say you are? Please use this
CARD, where code ‘1’ means “I’m not religious at all” and code ‘10’ means “I’m very
religious.” [RLGIOUS]

[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]

|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2

D17. If you had a chance, would you leave /country/ forever to live somewhere else?
[EMIGRAT]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

D18. If you had a chance, would you leave /country/ for a certain period of time to live
somewhere else? [MIGSHRT]

Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 40


We have some questions about your household left.
[INTERVIEWER! DURING THE REST OF THE INTERVIEW, THE RESPONDENT MAY
ASK FOR THE HELP OF ANOTHER HOUSEHOLD MEMBER IF NEEDED, BUT THE
RESPONDENT CANNOT BE SUBSTITUTED WITH ANOTHER HOUSEHOLD
MEMBER.]

Part 5.
[INTERVIEWER! COLLECT INFORMATION ABOUT ALL HOUSEHOLD MEMBERS
WHO CURRENTLY LIVES IN THIS HOUSEHOLD. ASK ABOUT BOTH ADULT
HOUSEHOLD MEMBERS AND ABOUT CHILDREN. WHILE FILLING IN TABLE A,
ALLOW THE RESPONDENT TO ASK FOR HELP FROM ANOTHER HOUSEHOLD
MEMBER(S), IF NEEDED. THROUGH THE TABLE, USE CODE ‘-1’ FOR “DON’T KNOW”
AND CODE ‘-2’ FOR “REFUSE TO ANSWER”.]

A1. Now, I would like to ask you about all the members of your household that live here
most of the time, including yourself. I am only interested in your household members’
characteristics, and I will ask their first names only to make our conversation easier.
I assure you these names will not be entered in the database. Let’s start with you.
[INTERVIEWER! RESPONDENT IS PRE-CODED  GO TO QUESTION A3_R. THAN,
CONTINUE THROUGH A8 WHILE ASKING ABOUT THE RESPONDENT.]

A2. [SHOW CARD A2] What is next household member’s first name and relationship to
the respondent? [HH2RELR] [HH3RELR] [HH4RELR] [HH5RELR] [HH6RELR] [HH7RELR]
[HH8RELR] [HH9RELR] [HH10RELR] [HH11RELR] [HH12RELR] [HH13RELR]

[INTERVIEWER! WRITE DOWN THE CORRESPONDING CODE FROM THE SHOW


CARD.]

[INTERVIEWER! QUESTIONS A3 THROUGH A7 WITH ‘R’ SHOULD BE ASKED


ABOUT THE RESPONDENT, WHILE QUESTIONS A3 THROUGH A7 WITH ‘H’
SHOULD BE ASKED ABOUT ALL OTHER HOUSEHOLD MEMBERS.]

A3_R. [INTERVIEWER! RECORD RESPONDENT’S GENDER.] [RESPSEX]


A3_H. [INTERVIEWER! RECORD HOUSEHOLD MEMBER’S GENDER.] [HHM2SEX]
[HHM3SEX] [HHM4SEX] [HHM5SEX] [HHM6SEX] [HHM7SEX] [HHM8SEX] [HHM9SEX]
[HHM10SEX] [HHM11SEX] [HHM12SEX] [HHM13SEX]

A4_R. In what year were you born? [RESPDOB]


A4_H. In what year was this member of the household born? [HHM2DOB] [HHM3DOB]
[HHM4DOB] [HHM5DOB] [HHM6DOB] [HHM7DOB] [HHM8DOB] [HHM9DOB] [HHM10DOB]
[HHM11DOB] [HHM12DOB] [HHM13DOB]

[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR. DO NOT ACCEPT A NON-


RESPONSE. IF THE RESPONDENT CANNOT REMEMBER THE EXACT YEAR OF BIRTH,
PROBE AGAIN. IF THE RESPONDENT STILL CANNOT REMEMBER THE YEAR OF
BIRTH OF THE HOSEHILD MEMBER, ASK: “In which decade was this person born?”
AND [SHOW CARD A4]. WRITE DOWN THE FOUR-DIGIT CODE FOR DECADE FROM
THE SHOW CARD.]

CB 2015 Source Questionnaire 41


A5_R. [SHOW CARD A5] Where were you born? [RESPPOB]
A5_H. [SHOW CARD A5] Where was this member of the household born? [HHM2POB]
[HHM3POB] [HHM4POB] [HHM5POB] [HHM6POB] [HHM7POB] [HHM8POB] [HHM9POB]
[HHM10POB] [HHM11POB] [HHM12POB] [HHM13POB]

[INTERVIEWER! WRITE DOWN THE CORRESPONDING CODE FROM THE


SHOW CARD.]

A6_R. Are you currently employed? This employment may be part-time or full-time,
official, informal, or self-employment, but it brings monetary income. [RESEMPL]

[INTERVIEWER! ASK QUESTION A6_H ONLY ABOUT HOUSEHOLD


MEMBERS WHO WERE BORN BEFORE 2001.]
A6_H. Is this member of the household currently employed? This employment may be part-
time or full-time, official, informal, or self-employment, but it brings monetary
income. [HHM2EMP] [HHM3EMP] [HHM4EMP] [HHM5EMP] [HHM6EMP] [HHM7EMP]
[HHM8EMP] [HHM9EMP] [HHM10EMP] [HHM11EMP] [HHM12EMP] [HHM13EMP]

A7_R. [SHOW CARD A7] What is your current marital status? [RESPMAR]

[INTERVIEWER! ASK QUESTION A7_H ONLY ABOUT HOUSEHOLD


MEMBERS WHO WERE BORN BEFORE 1999.]
A7_H. [SHOW CARD A7] What is this household member’s current marital status?
[HHM2MAR] [HHM3MAR] [HHM4MAR] [HHM5MAR] [HHM6MAR] [HHM7MAR] [HHM8MAR]
[HHM9MAR] [HHM10MAR] [HHM11MAR] [HHM12MAR] [HHM13MAR]

[INTERVIEWER! WRITE DOWN THE CORRESPONDING CODE FROM THE


SHOW CARD.]

A8. Now, I would like you to tell me about the next household member.

[INTERVIEWER! IF THERE IS ANOTHER HOUSEHOLD MEMBER  ASK QUESTIONS


A2 THROUGH A7_H ABOUT THIS HOUSEHOLD MEMBER.]

[INTERVIEWER! IF THERE ARE NO OTHER HOUSEHOLD MEMBERS, MAKE SURE


THAT THE NUMBER OF HOUSEHOLD MEMBERS RECORDED IN TABLE A IS THE
SAME AS THE NUMBER RECORDED IN QUESTION V4 IN THE BEGINNING OF THE
QUESTIONNAIRE. THEN  GO TO QUESTION HELP_A.]

CB 2015 Source Questionnaire 42


TABLE A
Only if the
Only if the
First name / Place of HH member
HH member
Relationship Gender birth was born
was born
to the before 1999
before 2001
respondent Year of birth Marital
Employed?
1 Male status
Show 2 Female Show
1 Yes
CARD A2 CARD A5 Show
0 No
CARD A7
No. A2 A3 A4 A5 A6 A7

1. 1 |___|___|___|___|

2. |___|___|___|___|

3. |___|___|___|___|

4. |___|___|___|___|

5. |___|___|___|___|

6. |___|___|___|___|

7. |___|___|___|___|

8. |___|___|___|___|

9. |___|___|___|___|

10. |___|___|___|___|

11. |___|___|___|___|

12. |___|___|___|___|

13. |___|___|___|___|

HELP_A: INTERVIEWER: DID THE RESPONDENT GET HELP FROM OTHER


HOUSEHOLD MEMBER(S) WHILE ANSWERING THE QUESTIONS OF
THIS SECTION? [HELPA]
Yes 1
No 0

CB 2015 Source Questionnaire 43


Part 6.
Households in all countries have different living and economic conditions. Now, I would like
to ask you for some information about the living and economic conditions of your
household.

C1. [SHOW CARD C1] Which of the following statements best describes the current
economic situation of your household? [ECONSTN]

Money is not enough for food. 1


Money is enough for food only, but not for clothes. 2
Money is enough for food and clothes, but not enough for expensive
3
durables like a refrigerator or washing machine.
We can afford to buy some expensive durables like a refrigerator or
4
washing machine.
We can afford to buy anything we need. 5
(Don’t know) -1
(Refuse to answer) -2

C2a. Now, I will name a series of household items. Please note that we are only interested
in items that your household owns and that are in normal working order. Please tell
me whether or not your household owns /item/.

[INTERVIEWER! READ OUT THE FIRST ITEM FROM TABLE C2 BELOW, AND
WRITE THE CODE CORRESPONDING TO THE RESPONDENT’S ANSWER.
THROUTH THE TABLE C2, USE CODE ‘-1’ FOR “DON’T KNOW” AND CODE ‘-2’
FOR “REFUSE TO ANSWER”.]

[INTERVIEWER! IN CASES WHERE THE HOUSEHOLD OWNS THIS ITEM, ASK


QUESTIONS C2b AND C2c ABOUT THIS ITEM. IF THE HOUSEHOLD DOES NOT OWN
THIS ITEM, ASK QUESTION C2a ABOUT THE NEXT ITEM.]
C2b. How many /items/ does your household own?
[INTERVIEWER! WRITE DOWN THE NUMBER.]

C2c. Please tell me the year the latest model was purchased.
[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR IN THE RESPECTIVE
CELL. USE CODE ‘-5’ FOR “NOT PURCHASED” (e.g. a gift). IF THE RESPONDENT
CAN NOT REMEMBER THE EXACT YEAR, SHOW CARD C2, AND WRITE
DOWN THE CODE CORRESPONDING TO THE RESPECTIVE DECADE.]
[INTERVIEWER! DO NOT ASK FOR THE NUMBER OF LAND LINE PHONES
AND INTERNET ACCESS. IN CASES WHERE THE HOUSEHOLD HAS
ACCESS(C2_9a AND C2_11a) , ASK: “From which year?” AND WRITE DOWN
THE FOUR-DIGIT YEAR.]

CB 2015 Source Questionnaire 44


TABLE C2 Own? IF “YES”:

Yes 1 How many? Year the latest model


No 0 was purchased:
C2a C2b C2c

|____| |____|____| |____|____|____|____|


1. Color television
[OWNCOTV] [NUMCOTV] [YRPCOTV]

Digital photo camera |____|


2. [INTERVIEWER! THIS DOES [OWNDIGC] |____|____| |____|____|____|____|
NOT INCLUDE A
(SMART)PHONE CAMERA.] [NUMDIGC] [YRPDIGC]

Automatic washing |____| |____|____| |____|____|____|____|


3.
machine [OWNWASH] [NUMWASH] [YRPWASH]

|____| |____|____| |____|____|____|____|


4. Refrigerator
[OWNFRDG] [NUMFRDG] [YRPFRDG]

|____| |____|____| |____|____|____|____|


5. Air conditioner
[OWNAIRC] [NUMAIRC] [YRPAIRC]

|____| |____|____| |____|____|____|____|


6. Car
[OWNCARS] [NUMCARS] [YRPCARS]

|____|
7. Land line phone
[OWNLNDP]

|____|
[OWNCELL]
8. Cell phone IF ‘No,’
‘-1’, or ‘-2’  |____|____| |____|____|____|____|
GO TO C2_10 [NUMCELL] [YRPCELL]

Does any of your |____|


household members [CELLINTH]
From which year? |____|____|____|____|
9. have Internet access IF ‘No,’
from his/her cell ‘-1’, or ‘-2’  [PHINTYR]
phone? GO TO C2_10
How many? Year the latest model
|____| was purchased:
[OWNCOMP]
Personal computer, IF ‘No,’
10. including laptop |____|____|
‘-1’, or [NUMCOMP] |____|____|____|____|
‘-2’  [YRPCOMP]
GO TO C3

CB 2015 Source Questionnaire 45


Does any of your
household members |____|
access the Internet [WEBHOMEH] From which year? |____|____|____|____|
11. from your home IF ‘No,’
computer or laptop?
[INTERVIEWER! WE MEAN
‘-1’, or ‘-2’  [YRWEBHOH]
HERE A COMPUTER OR A GO TO C3
LAPTOP THAT THE
RESPONDENT USES AT HOME.]

C3. Households may experience financial difficulties. Please tell me, over the course of a
typical month, does your household have to limit consumption or use of the following
due to budget difficulties?
[INTERVIEWER! READ OUT LINE BY LINE.]
(Not
applicable/Do (Don’t (Refuse to
Yes No
not consume know) answer)
at all)
1. Bread, pasta 1 0 -5 -1 -2
[LIMPRED]
2. Butter, milk 1 0 -5 -1 -2
[LIMMILK]
3. Poultry / Chicken
1 0 -5 -1 -2
meat [LIMPOUL]
4. Beef [LIMBEEF] 1 0 -5 -1 -2
5. Pork [LIMPORK] 1 0 -5 -1 -2
6. Fish [LIMFISH] 1 0 -5 -1 -2
7. Fruit, vegetables,
EXCEPT potatoes 1 0 -5 -1 -2
[LIMVEGS]
8. Potatoes [LIMPOTA] 1 0 -5 -1 -2
9. Sweets and
1 0 -5 -1 -2
chocolates [LIMSWEE]
10. Electricity [LIMELEC] 1 0 -5 -1 -2
11. Gas [LIMGASS] 1 0 -5 -1 -2
12. Transportation 1 0 -5 -1 -2
[LIMTRAN]

CB 2015 Source Questionnaire 46


C4. [SHOW CARD C4] Speaking about the past 12 months, how often did it happen that
you did not have enough money to buy the food you or your family needed? Please
tell me which of the options on this CARD reflect your situation best? [NOMONFD]

Every day 1
Every week 2
Every month 3
Less often 4
Never 5
(Don’t know) -1
(Refuse to answer) -2

C5. Many households obtain income from several sources. I will read out several possible
sources of income and please, tell me whether your household had monetary income
from each of these sources in the last 12 months. Please think about the income of all
members of your household.
[INTERVIEWER! ACCEPT ONE ANSWER IN EACH ROW.]

(Refuse
(Don’t
Yes No to
Know)
answer)
Money from family members, relatives, or
1. friends living elsewhere in this country. 1 0 -1 -2
[INCSOUCO]

Money from family members, relatives, or


2. 1 0 -1 -2
friends living in another country. [INCSOUAB]

3. Cash sales from agricultural products. 1 0 -1 -2


[INCSOUAG]

Aggregated earned income (salary) of all


4. household members, except sales of 1 0 -1 -2
agricultural products. [INCSOUSL]

5. Pensions and government benefits. 1 0 -1 -2


[INCSOUGO]

Income from renting of property, vehicles, or


6. 1 0 -1 -2
appliances. [INCSOURE]

Income from sale of property, vehicles, or


7. 1 0 -1 -2
appliances. [INCSOUPR]

8. Interest or earnings on deposits or securities. 1 0 -1 -2


[INCSOUIN]

9. Other sources of income. [INCSOUOT] 1 0 -1 -2

CB 2015 Source Questionnaire 47


C6. [SHOW CARD C622] Household income is a sum of monetary income of all
household members. Speaking about monetary income of all your household
members last month after all taxes are paid, to which of the following groups does
your household belong? [MONYTOT]
[INTERVIEWER! ASK ABOUT NET INCOME OF ALL HOUSEHOLD MEMBERS.]

More than USD 1200 1


USD 801 – 1200 2
USD 401 – 800 3
USD 251 – 400 4
USD 101 – 250 5
USD 51– 100 6
Up to USD 50 7
(0) 8
(Don’t know) -1
(Refuse to answer) -2

C7. [SHOW CARD C6] Using the same CARD, please tell me your household’s spending
last month? [SPENDMO]

More than USD 1200 1


USD 801 – 1200 2
USD 401 – 800 3
USD 251 – 400 4
USD 101 – 250 5
USD 51– 100 6
Up to USD 50 7
(0) 8
(Don’t know) -1
(Refuse to answer) -2

22
Show Cards in local currencies, updated according to the latest exchange rate.
CB 2015 Source Questionnaire 48
C8. In the past 6 months, how often has your household borrowed any money to buy
food? Have you borrowed money … [READ OUT] [FOODDBT]
[INTERVIEWER! BY ‘BORROWING’, WE DO NOT MEAN A BANK LOAN.
HOWEVER, WE DO MEAN, FOR INSTANCE, A CREDIT IN A LOCAL SHOP.]

Each week, 1
Each month, 2
Every other month, 3
Less frequently, 4
or Never? 5
(Don’t know) -1
(Refuse to answer) -2

C9. In the past 6 months, how often has your household borrowed any money to pay for
utilities? Have you borrowed money … [READ OUT] [UTILDBT]
Each week, 1
Each month, 2
Every other month, 3
Less frequently, 4
or Never? 5
(Don’t know) -1
(Refuse to answer) -2

C10. [SHOW CARD C10] Using this CARD, let’s imagine there is a 10-step ladder
reflecting the economic standing of all households in /country/ today. The first rung
of this ladder corresponds to the lowest economic position in society, while the 10th
rung corresponds to the highest position. On which rung of this ladder do you think
your household currently stands? [CURRUNG]
[INTERVIEWER! WRITE THE NUMBER FROM THE SHOW CARD.]

|___|___| RUNG
(Don’t know) -1
(Refuse to answer) -2

CB 2015 Source Questionnaire 49


C11. [SHOW CARD C10] And again using this CARD, on which rung of this ladder do
you think your household will be standing 5 years from now? [FUTRUNG]
[INTERVIEWER! WRITE THE NUMBER FROM THE SHOW CARD.]

|___|___| RUNG
(Don’t know) -1
(Refuse to answer) -2

C12. Relative to most of the households around you, would you describe the current
economic condition of your household as … [READ OUT] [RELCOND]

Very good, 5
Good, 4
Fair, 3
Poor, 2
or Very poor? 1
(Don’t know) -1
(Refuse to answer) -2

C13. [SHOW CARD C1323] What minimal monthly income would enable your household
live a normal life? [MININCR]

More than USD 1200 1


USD 801 – 1200 2
USD 401 – 800 3
USD 251 – 400 4
USD 101 – 250 5
USD 51– 100 6
Up to USD 50 7
(0) 8
(Don’t know) -1
(Refuse to answer) -2

HELP_C: INTERVIEWER: DID THE RESPONDENT GET HELP FROM OTHER


HOUSEHOLD MEMBER(S) WHILE ANSWERING THE QUESTIONS OF THIS
SECTION? [HELPC]
Yes 1
No 0

23
Show Card in local currencies and updated based on the latest exchange rate.
CB 2015 Source Questionnaire 50
THANK YOU.

Please note that according to the existing practice of conducting this kind of survey, some
interviews will be checked by our company a few weeks after the date of the interview. We
cannot know in advance whether our interview will be checked; but in case if another
representative of our research center happens to check whether we had this interview today,
please do not be surprised.

The only goal of such a check is to make sure that the interviews were conducted according
to highest professional standards. In the event of such a check, please note that all your
answers will remain strictly confidential. Thank you.

T3. Time the interview finished: [INTEND] |____|____| |____|____|


Hour Minute
[INTERVIEWER! USE 24-HOUR CLOCK.]

[INTERVIEWER! ANSWER THE FOLLOWING QUESTIONS IMMEDIATELY AFTER


FINISHING THE INTERVIEW.]

INTERVIEWER ASSESSMENT FORM


W1. Was anybody but you and the respondent him/herself able to listen to the
respondent’s answers during the interview? [LISTENO]
Yes, during the entire interview. 1
Yes, most of the time. 2
Yes, while the respondent was answering questions for
3
sections A and/or C.
Yes, for less than half of the interview, except while the
4
respondent was answering questions for sections A and/or C.
Yes, for only a few questions, except while the respondent was
5
answering questions for sections A and/or C.
No. 6

CB 2015 Source Questionnaire 51


W2. How often was the respondent distracted during the interview? [CIRCLE ONE
ANSWER] [FRQDIST]
Never 1
Just for a few questions (fewer than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the
4
interview
Throughout most of the interview, or through the entire interview 5

W3. How often did you feel that the respondent lacked knowledge about the questions
you asked? [FRQKNOW]
Never 1
Just for a few questions (fewer than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the
4
interview
Throughout most of the interview, or through the entire interview 5

W4. How often did you feel the respondent was reluctant to answer the questions? [FRQRLCT]
Never 1
Just for a few questions (less than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the interview 4
Throughout most of the interview, or through the entire interview 5

W5. How often did you feel the respondent was reluctant to use the SHOW CARDS (read
them carefully him/herself)? [FRQSHCD]
Never, the respondent was always using the SHOW CARDS 1
Just for a few show cards (less than ten) 2
For some show cards, but not that many (approximately 25% of the
3
show cards)
For a substantial number of show cards, but less than half them 4
Throughout most of the interview, or through the entire interview 5

CB 2015 Source Questionnaire 52


W6. On a scale of 1 to 5, how would you rate the respondent’s level of intelligence?
[RESPINL]

Not at all intelligent 1


Not very intelligent 2
Average 3
Intelligent 4
Very intelligent 5

W7. How would you evaluate sincerity of respondent’s answers? [RESPSINC]

Not at all Completely


sincere sincere

0 1 2 3 4 5 6 7 8 9 10

W8. How tired was the respondent in the end of the interview? [RESPTIR]

Not tired at
Very tired
all

0 1 2 3 4 5 6 7 8 9 10

W9. Has this interview been completed? [INTCOMP]


 GO TO
Yes 1
W11
No 0

W10. Please write the number of the last question answered by the respondent: [LASTQUE]

_________________________________

W11. If you think about the most of the length of the interview, how many people were
present at the interview, including you and the respondent? [ATTEND]

_________________________________

THANK YOU.
CB 2015 Source Questionnaire 53

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